So, more about Spiro and Doxy.
FYI: this post is a bit messy, I promise I'm not usually this confusing.
I'll post pictures later, but basically, I have cystic acne on the bottom half of my face--mostly concentrated on my lower cheeks, but also some on my jaw line and chin. My nose and forehead are actually quite nice looking.
So I went to an endocrinologist and got my hormones tested. Everything is good except my DHEA, which is way high (darn adrenal gland, malfunctioning). According to her, it is probably causing my cystic acne and other not-relevant-to-this-forum health symptoms.
In January, I started on Spironolactone (January 14th, to be precise--happy one month anniversary to me!!!). 25mg once per day. I did that for 2 weeks and then went up to 50 mg. Tuesday was the start of my 3rd week on 50 mg and the start of my 5th week overall (hopefully that made sense).
Not gonna lie--I absolutely HATED Spiro at first. I had an initial breakout and my skin was so dry it was turning white and flaking off. Partially, I attribute that to the fact that I live in a very cold and very dry climate. But I think it was also the diuretic effect, cause I was constantly dehydrated too, and going to the bathroom a lot.
However, my skin started getting a bit better, surprisingly soon.
When I went up to 50 mg, it was the initial breakout and dryness effect all over again, only this time it was not going away as fast. So when I went back to my dermatologist last Friday (2/7/14), he started me on 200 mg Doxycycline, 100 in the morning and 100 at night. He said we're just 'biding time' for the Spironolactone to really work, so hopefully this is a temporary thing. Fingers crossed.
So far, Doxycycline is really helping. Less redness, less cysts.
He also took me off Tazorac since it's really drying and not helping my cysts anyway. It feels weird to be off it though......I've been on one topical or another since I was 11 years old (I'm 17 now).
Unfortunately, I have 2 new cysts today, one on each cheek. I'm hoping they'll go away before they get full blown. Otherwise, my skin is actually really smooth, which just a couple 'old' cysts in the process of healing.
And perhaps the new cysts are just cause of my crappy eating habits this week......Valentines Day brings too much chocolate. Ugh.
Side note: I know my Spiro dose is kinda low......I'm on another medication that has a high risk of reacting badly with Spiro, so I have to be careful and get my blood tested a lot.
In case you didn't want to read all that, here's a summary:
27 days on Spironolactone, on 50 mg once per day right now.
7 days on Doxycycline, 200 mg per day.
Clearasil face wash at night, just water in the morning.